Vm Provision Care LLC
Internal Medicine, Geriatric Medicine in Tacoma, WA. Organization (NPI-2).
NPI number1164072765
StatusActive
Last updated in NPPESSep 16, 2019
Details
- NPI
- 1164072765
- Entity type
- Organization (NPI-2)
- Legal business name
- Vm Provision Care LLC
- Organization subpart
- No
- Enumeration date
- Sep 16, 2019
- Last updated
- Sep 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | – | – | Yes |
Practice location
3640 S Cedar St Ste OTacoma, WA 98409-5700
Phone 253-651-2498
Mailing address
Po Box 64375Tacoma, WA 98464-0375
Phone 253-651-2498
Authorized official
Atif Mian
Ceo
2536512498
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